Larry E. Tidyman is a Medical in Benkelman, Nebraska. Larry E. Tidyman practices all healthcare services and medical treatments related to Medical. The NPI Number for Larry E. Tidyman is 1972690345. The last update date is 2010-09-01.
Larry E. Tidyman's current location address is Po Box 710, Benkelman, Nebraska. You can contact this provider via phone number 3084232151 and fax number 3084232217. The mailing address for Larry E. Tidyman is Po Box 710, Benkelman, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry E. Tidyman |
|---|---|
| Address | Po Box 710, Benkelman, Nebraska |
| Phone Number | 3084232151 |
| Fax Number | 3084232217 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972690345 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2010-09-01 |
Provider Mailing Address Detail
| Address | Po Box 710 |
|---|---|
| City | Benkelman |
| State | Nebraska (NE) |
| Post Code | 690210710 |
| Phone Number | 3084232151 |
| Fax Number | 3084232217 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 343 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37814 | NE | BCBS OF NE | |
| 2287458901 | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry E. Tidyman by the Centers for Medicare & Medicaid Services?
The Larry E. Tidyman has been assigned the NPI (National Provider Identifier) 1972690345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Larry E. Tidyman is physically located?
The Larry E. Tidyman is situated at the following address: Po Box 710, Benkelman, NE 690210710.
What is the Larry E. Tidyman's specialty and taxonomy code?
The Larry E. Tidyman's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Larry E. Tidyman receive the assignment of its 1972690345 from the Centers for Medicare & Medicaid Services?
The Larry E. Tidyman was issued its 1972690345 by the Centers for Medicare & Medicaid Services on 2006-10-06.
As of what date was the information pertaining to Larry E. Tidyman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry E. Tidyman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-01.
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